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Longer Telephone Consultation

Iowa rates for HCPCS 99443

An extended telephone consultation with your own clinician about a medical problem, where the problem is discussed in detail, advice is given and a plan is agreed without an in-person visit. It applies when the call is not a follow-up to a recent visit for the same problem and does not lead straight to an appointment. The length of the call determines which version applies.

Rates data updated July 2026.

How much does Longer Telephone Consultation cost?

$263

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $162 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$269$155 to $603
FacilityA hospital or hospital-owned outpatient department$162$97.72 to $389

How much rates vary

Facilitymedian $162 · 10th to 90th $56 to $1,585Professionalmedian $269 · 10th to 90th $58 to $794
$50.0$100.0$200.0$500.0$1.0Kfacility $162professional $269

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$245.47
Typical High
$416.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$245.47
Typical High
$389.05
Medica
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$602.56
Typical High
$794.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$57.54
Typical High
$154.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$66.07
Typical High
$346.74
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$131.83
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$154.88
Typical High
$478.63

Where Iowa sits

The same service costs 13.5 times more in Kansas than in New York. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $263 · 10th of 51
KS $603NY $44.67

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.